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  1. Article ; Online: Targeting mitotic regulators in cancer as a strategy to enhance immune recognition.

    Gregorczyk, Mateusz / Parkes, Eileen E

    DNA repair

    2023  Volume 132, Page(s) 103583

    Abstract: Eukaryotic DNA has evolved to be enclosed within the nucleus to protect the cellular genome from autoinflammatory responses driven by the immunogenic nature of cytoplasmic DNA. Cyclic GMP-AMP Synthase (cGAS) is the cytoplasmic dsDNA sensor, which upon ... ...

    Abstract Eukaryotic DNA has evolved to be enclosed within the nucleus to protect the cellular genome from autoinflammatory responses driven by the immunogenic nature of cytoplasmic DNA. Cyclic GMP-AMP Synthase (cGAS) is the cytoplasmic dsDNA sensor, which upon activation of Stimulator of Interferon Genes (STING), mediates production of pro-inflammatory interferons (IFNs) and interferon stimulated genes (ISGs). However, although this pathway is crucial in detection of viral and microbial genetic material, cytoplasmic DNA is not always of foreign origin. It is now recognised that specifically in genomic instability, a hallmark of cancer, extranuclear material in the form of micronuclei (MN) can be generated as a result of unresolved DNA lesions during mitosis. Activation of cGAS-STING in cancer has been shown to regulate numerous tumour-immune interactions such as acquisition of 'immunologically hot' phenotype which stimulates immune-mediated elimination of transformed cells. Nonetheless, a significant percentage of poorly prognostic cancers is 'immunologically cold'. As this state has been linked with low proportion of tumour-infiltrating lymphocytes (TILs), improving immunogenicity of cold tumours could be clinically relevant by exhibiting synergy with immunotherapy. This review aims to present how inhibition of vital mitotic regulators could provoke cGAS-STING response in cancer and improve the efficacy of current immunotherapy regimens.
    MeSH term(s) Humans ; Neoplasms/pathology ; DNA/metabolism ; Cytoplasm/metabolism ; Interferons ; Nucleotidyltransferases/genetics ; Nucleotidyltransferases/metabolism
    Chemical Substances DNA (9007-49-2) ; Interferons (9008-11-1) ; Nucleotidyltransferases (EC 2.7.7.-)
    Language English
    Publishing date 2023-10-18
    Publishing country Netherlands
    Document type Review ; Journal Article
    ZDB-ID 2071608-4
    ISSN 1568-7856 ; 1568-7864
    ISSN (online) 1568-7856
    ISSN 1568-7864
    DOI 10.1016/j.dnarep.2023.103583
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: cGAS-STING signalling in cancer: striking a balance with chromosomal instability.

    Beernaert, Bruno / Parkes, Eileen E

    Biochemical Society transactions

    2023  Volume 51, Issue 2, Page(s) 539–555

    Abstract: Chromosomal instability (CIN) is a hallmark of cancer that drives tumour evolution. It is now recognised that CIN in cancer leads to the constitutive production of misplaced DNA in the form of micronuclei and chromatin bridges. These structures are ... ...

    Abstract Chromosomal instability (CIN) is a hallmark of cancer that drives tumour evolution. It is now recognised that CIN in cancer leads to the constitutive production of misplaced DNA in the form of micronuclei and chromatin bridges. These structures are detected by the nucleic acid sensor cGAS, leading to the production of the second messenger 2'3'-cGAMP and activation of the critical hub of innate immune signalling STING. Activation of this immune pathway should instigate the influx and activation of immune cells, resulting in the eradication of cancer cells. That this does not universally occur in the context of CIN remains an unanswered paradox in cancer. Instead, CIN-high cancers are notably adept at immune evasion and are highly metastatic with typically poor outcomes. In this review, we discuss the diverse facets of the cGAS-STING signalling pathway, including emerging roles in homeostatic processes and their intersection with genome stability regulation, its role as a driver of chronic pro-tumour inflammation, and crosstalk with the tumour microenvironment, which may collectively underlie its apparent maintenance in cancers. A better understanding of the mechanisms whereby this immune surveillance pathway is commandeered by chromosomally unstable cancers is critical to the identification of new vulnerabilities for therapeutic exploitation.
    MeSH term(s) Humans ; Chromosomal Instability ; Immunity, Innate/genetics ; Inflammation ; Neoplasms/genetics ; Neoplasms/metabolism ; Nucleotidyltransferases ; Signal Transduction ; Tumor Microenvironment
    Chemical Substances Nucleotidyltransferases (EC 2.7.7.-) ; cGAS protein, human (EC 2.7.7.-) ; STING1 protein, human
    Language English
    Publishing date 2023-03-02
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 184237-7
    ISSN 1470-8752 ; 0300-5127
    ISSN (online) 1470-8752
    ISSN 0300-5127
    DOI 10.1042/BST20220838
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: When breaks get hot: inflammatory signaling in BRCA1/2-mutant cancers.

    van Vugt, Marcel A T M / Parkes, Eileen E

    Trends in cancer

    2022  Volume 8, Issue 3, Page(s) 174–189

    Abstract: Genomic instability and inflammation are intricately connected hallmark features of cancer. DNA repair defects due to BRCA1/2 mutation instigate immune signaling through the cGAS/STING pathway. The subsequent inflammatory signaling provides both tumor- ... ...

    Abstract Genomic instability and inflammation are intricately connected hallmark features of cancer. DNA repair defects due to BRCA1/2 mutation instigate immune signaling through the cGAS/STING pathway. The subsequent inflammatory signaling provides both tumor-suppressive as well as tumor-promoting traits. To prevent clearance by the immune system, genomically instable cancer cells need to adapt to escape immune surveillance. Currently, it is unclear how genomically unstable cancers, including BRCA1/2-mutant tumors, are rewired to escape immune clearance. Here, we summarize the mechanisms by which genomic instability triggers inflammatory signaling and describe adaptive mechanisms by which cancer cells can 'fly under the radar' of the immune system. Additionally, we discuss how therapeutic activation of the immune system may improve treatment of genomically instable cancers.
    MeSH term(s) BRCA1 Protein/genetics ; BRCA1 Protein/metabolism ; DNA Repair/genetics ; Genomic Instability ; Humans ; Inflammation/genetics ; Neoplasms/therapy ; Signal Transduction/genetics
    Chemical Substances BRCA1 Protein ; BRCA1 protein, human
    Language English
    Publishing date 2022-01-06
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2852626-0
    ISSN 2405-8025 ; 2405-8033 ; 2405-8033
    ISSN (online) 2405-8025 ; 2405-8033
    ISSN 2405-8033
    DOI 10.1016/j.trecan.2021.12.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Eileen Parkes on Why Cancer Researchers Are Excited About STING Agonists.

    Parkes, Eileen

    Oncology (Williston Park, N.Y.)

    2018  Volume 32, Issue 8, Page(s) 402–403

    MeSH term(s) Clinical Trials as Topic ; Humans ; Immunity, Innate ; Interferons/genetics ; Membrane Proteins/agonists ; Membrane Proteins/physiology ; Neoplasms/drug therapy ; Precision Medicine ; Signal Transduction/physiology
    Chemical Substances Membrane Proteins ; Interferons (9008-11-1)
    Language English
    Publishing date 2018-08-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1067950-9
    ISSN 0890-9091
    ISSN 0890-9091
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Make it easier for me to deliver childcare at conferences.

    Parkes, Eileen

    Nature

    2018  Volume 564, Issue 7736, Page(s) S89

    MeSH term(s) Child ; Child Care ; Congresses as Topic ; Humans
    Language English
    Publishing date 2018-12-19
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 120714-3
    ISSN 1476-4687 ; 0028-0836
    ISSN (online) 1476-4687
    ISSN 0028-0836
    DOI 10.1038/d41586-018-07783-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: My Signature Scent.

    Parkes, Eileen

    Oncology (Williston Park, N.Y.)

    2018  Volume 32, Issue 3, Page(s) 96–97

    MeSH term(s) Adult ; Humans ; Male ; Stomach Neoplasms/diagnostic imaging ; Stomach Neoplasms/therapy ; Tomography, X-Ray Computed
    Language English
    Publishing date 2018--15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1067950-9
    ISSN 0890-9091
    ISSN 0890-9091
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Clinical Application of Poly(ADP-Ribose) Polymerase Inhibitors in High-Grade Serous Ovarian Cancer.

    Parkes, Eileen E / Kennedy, Richard D

    The oncologist

    2016  Volume 21, Issue 5, Page(s) 586–593

    Abstract: Unlabelled: : High-grade serous ovarian cancer is characterized by genomic instability, with one half of all tumors displaying defects in the important DNA repair pathway of homologous recombination. Given the action of poly(ADP-ribose) polymerase (PARP) ...

    Abstract Unlabelled: : High-grade serous ovarian cancer is characterized by genomic instability, with one half of all tumors displaying defects in the important DNA repair pathway of homologous recombination. Given the action of poly(ADP-ribose) polymerase (PARP) inhibitors in targeting tumors with deficiencies in this repair pathway by loss of BRCA1/2, ovarian tumors could be an attractive population for clinical application of this therapy. PARP inhibitors have moved into clinical practice in the past few years, with approval from the Food and Drug Administration (FDA) and European Medicines Agency (EMA) within the past 2 years. The U.S. FDA approval of olaparib applies to fourth line treatment in germline BRCA-mutant ovarian cancer, and European EMA approval to olaparib maintenance in both germline and somatic BRCA-mutant platinum-sensitive ovarian cancer. In order to widen the ovarian cancer patient population that would benefit from PARP inhibitors, predictive biomarkers based on a clear understanding of the mechanism of action are required. Additionally, a better understanding of the toxicity profile is needed if PARP inhibitors are to be used in the curative, rather than the palliative, setting. We reviewed the development of PARP inhibitors in phase I-III clinical trials, including combination trials of PARP inhibitors and chemotherapy/antiangiogenics, the approval for these agents, the mechanisms of resistance, and the outstanding issues, including the development of biomarkers and the rate of long-term hematologic toxicities with these agents.
    Implications for practice: The poly(ADP-ribose) polymerase (PARP) inhibitor olaparib has recently received approval from the Food and Drug Administration (FDA) and European Medicines Agency (EMA), with a second agent (rucaparib) likely to be approved in the near future. However, the patient population with potential benefit from PARP inhibitors is likely wider than that of germline BRCA mutation-associated disease, and biomarkers are in development to enable the selection of patients with the potential for clinical benefit from these agents. Questions remain regarding the toxicities of PARP inhibitors, limiting the use of these agents in the prophylactic or adjuvant setting until more information is available. The indications for olaparib as indicated by the FDA and EMA are reviewed.
    MeSH term(s) Biomarkers ; Clinical Trials as Topic ; Drug Resistance, Neoplasm ; Female ; Genes, BRCA1 ; Genes, BRCA2 ; Humans ; Mutation ; Ovarian Neoplasms/drug therapy ; Ovarian Neoplasms/genetics ; Phthalazines/therapeutic use ; Piperazines/therapeutic use ; Poly(ADP-ribose) Polymerase Inhibitors/therapeutic use
    Chemical Substances Biomarkers ; Phthalazines ; Piperazines ; Poly(ADP-ribose) Polymerase Inhibitors ; olaparib (WOH1JD9AR8)
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1409038-7
    ISSN 1549-490X ; 1083-7159
    ISSN (online) 1549-490X
    ISSN 1083-7159
    DOI 10.1634/theoncologist.2015-0438
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: DNA Repair Deficiency in Breast Cancer: Opportunities for Immunotherapy.

    Gilmore, Elaine / McCabe, Nuala / Kennedy, Richard D / Parkes, Eileen E

    Journal of oncology

    2019  Volume 2019, Page(s) 4325105

    Abstract: Historically the development of anticancer treatments has been focused on their effect on tumor cells alone. However, newer treatments have shifted attention to targets on immune cells, resulting in dramatic responses. The effect of DNA repair deficiency ...

    Abstract Historically the development of anticancer treatments has been focused on their effect on tumor cells alone. However, newer treatments have shifted attention to targets on immune cells, resulting in dramatic responses. The effect of DNA repair deficiency on the microenvironment remains an area of key interest. Moreover, established therapies such as DNA damaging treatments such as chemotherapy and PARP inhibitors further modify the tumor microenvironment. Here we describe DNA repair pathways in breast cancer and activation of innate immune pathways in DNA repair deficiency, in particular, the STING (STimulator of INterferon Genes) pathway. Breast tumors with DNA repair deficiency are associated with upregulation of immune checkpoints including PD-L1 (Programmed Death Ligand-1) and may represent a target population for single agent or combination immunotherapy treatment.
    Language English
    Publishing date 2019-06-19
    Publishing country Egypt
    Document type Journal Article ; Review
    ZDB-ID 2461349-6
    ISSN 1687-8469 ; 1687-8450
    ISSN (online) 1687-8469
    ISSN 1687-8450
    DOI 10.1155/2019/4325105
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Development of Immunotherapy Combination Strategies in Cancer.

    Yap, Timothy A / Parkes, Eileen E / Peng, Weiyi / Moyers, Justin T / Curran, Michael A / Tawbi, Hussein A

    Cancer discovery

    2021  Volume 11, Issue 6, Page(s) 1368–1397

    Abstract: Harnessing the immune system to treat cancer through inhibitors of CTLA4 and PD-L1 has revolutionized the landscape of cancer. Rational combination strategies aim to enhance the antitumor effects of immunotherapies, but require a deep understanding of ... ...

    Abstract Harnessing the immune system to treat cancer through inhibitors of CTLA4 and PD-L1 has revolutionized the landscape of cancer. Rational combination strategies aim to enhance the antitumor effects of immunotherapies, but require a deep understanding of the mechanistic underpinnings of the immune system and robust preclinical and clinical drug development strategies. We review the current approved immunotherapy combinations, before discussing promising combinatorial approaches in clinical trials and detailing innovative preclinical model systems being used to develop rational combinations. We also discuss the promise of high-order immunotherapy combinations, as well as novel biomarker and combinatorial trial strategies. SIGNIFICANCE: Although immune-checkpoint inhibitors are approved as dual checkpoint strategies, and in combination with cytotoxic chemotherapy and angiogenesis inhibitors for multiple cancers, patient benefit remains limited. Innovative approaches are required to guide the development of novel immunotherapy combinations, ranging from improvements in preclinical tumor model systems to biomarker-driven trial strategies.
    MeSH term(s) Drug Development ; Drug Therapy, Combination ; Humans ; Immune Checkpoint Inhibitors/administration & dosage ; Immune Checkpoint Inhibitors/therapeutic use ; Immunotherapy ; Neoplasms/drug therapy
    Chemical Substances Immune Checkpoint Inhibitors
    Language English
    Publishing date 2021-04-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2625242-9
    ISSN 2159-8290 ; 2159-8274
    ISSN (online) 2159-8290
    ISSN 2159-8274
    DOI 10.1158/2159-8290.CD-20-1209
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Reactivation of low avidity tumor-specific CD8

    Sugiyarto, Gessa / Lau, Doreen / Hill, Samuel Luke / Arcia-Anaya, David / Boulanger, Denise S M / Parkes, Eileen / James, Edward / Elliott, Tim

    Journal for immunotherapy of cancer

    2023  Volume 11, Issue 8

    Abstract: Background: CD8: Methods: CT26 models were treated with anti-PD-1 on days 3, 6 and 9 following subcutaneous tumor implantation generating variable responses during early tumor development. Tetramer staining was performed to determine the frequency ... ...

    Abstract Background: CD8
    Methods: CT26 models were treated with anti-PD-1 on days 3, 6 and 9 following subcutaneous tumor implantation generating variable responses during early tumor development. Tetramer staining was performed to determine the frequency and avidity of CD8
    Results: Treatment success with anti-PD-1 was associated with the preferential expansion of low avidity (Tet
    Conclusions: Targeting subdominant T cell responses with lower avidity against pMHC affinity neoepitopes showed potential for improving PD-1 immunotherapy. Future interventions may consider expanding low avidity populations via vaccination or adoptive transfer.
    MeSH term(s) Humans ; Adoptive Transfer ; Apoptosis ; CD8-Positive T-Lymphocytes ; Neoplasms/drug therapy ; Receptors, Antigen, T-Cell ; Immunotherapy
    Chemical Substances Receptors, Antigen, T-Cell
    Language English
    Publishing date 2023-08-14
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2719863-7
    ISSN 2051-1426 ; 2051-1426
    ISSN (online) 2051-1426
    ISSN 2051-1426
    DOI 10.1136/jitc-2023-007114
    Database MEDical Literature Analysis and Retrieval System OnLINE

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